Leprosy diagnostic criteria: Difference between revisions
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==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
Attending to the historic and social impact of leprosy in the population, a careful assessment of the clinical status of the patient should be made, before advancing the definitive [[diagnosis]] of leprosy. Even when suspected in the [[differential diagnosis]], a reasonable degree of certainty is required, before communicating this to the patient. | Attending to the historic and social impact of leprosy in the population, a careful assessment of the clinical status of the patient should be made, before advancing the definitive [[diagnosis]] of leprosy. Even when suspected in the [[differential diagnosis]], a reasonable degree of certainty is required, before communicating this to the patient.<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref> | ||
For the [[diagnosis]] of leprosy, at least one of the following [[signs]] should be present: | For the [[diagnosis]] of leprosy, at least one of the following [[signs]] should be present:<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref> | ||
# Confirmed [[loss of sensation]] of a [[Hypopigmentation|hypopigmented]] or [[erythematous]] [[skin patch]]. | # Confirmed [[loss of sensation]] of a [[Hypopigmentation|hypopigmented]] or [[erythematous]] [[skin patch]]. |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Diagnostic Criteria
Attending to the historic and social impact of leprosy in the population, a careful assessment of the clinical status of the patient should be made, before advancing the definitive diagnosis of leprosy. Even when suspected in the differential diagnosis, a reasonable degree of certainty is required, before communicating this to the patient.[1]
For the diagnosis of leprosy, at least one of the following signs should be present:[1]
- Confirmed loss of sensation of a hypopigmented or erythematous skin patch.
- A thickened peripheral nerve, with concomitant loss of sensation and/or weakness of the muscles it stimulates.
- Confirmation of acid-fast bacilli in the skin smear, although most people with leprosy will have a negative smear.